RCM Contribution to Improving Safety and Outcomes for Women. Gill Walton Chief Executive

Transcription

1 RCM Contribution to Improving Safety and Outcomes for Women Gill Walton Chief Executive

2 2 Gill Walton My first 2 weeks

3 Maternity services are under the spotlight 3 Maternity Transformation in England Secretary of State for Health s ambition to reduce stillbirth, neonatal brain injury and neonatal death by 50% by 2030 The drive to improve culture and team work within maternity units. Reducing harm through learning from serious incidents and litigation claims Increasing complexity Midwifery and obstetric staffing

4 NHS England Maternity Transformation Programme The Five Year Forward View Better Births MTP Regional Mat Lead North Neil Tomlin Regional Mat Lead Midlands Joy Kirby Regional Mat Lead London Jess Read Regional Mat Lead South Jenny Hughes Maternity Transformation Board Chair: Sarah Jane Marsh RCM: CEO membership Minister s ambition - Spotlight on Maternity RRR MTP Stakeholder Council Local Transformation: S O Sullivan Safer care: M Forrester Choice and Personalisation: G Bourke Choice Pioneers STPs = LMSs Perinatal mental health: J Fyle Workforce: S Tyler Data and information: L Silverton Digital technology: J Gerrard Payment system: G Bourke Improving Prevention: E Gomez Early Adopters Local maternity system Commissioning Guidance from Workstream PID Organisation mapping from Clinical Networks

5 5

6 Better together 6 Multi-professional working, breaking down barriers between midwives, obstetricians and other professionals to deliver safe and personalised care in partnership with women Healthy culture Strong leadership Working together Training together Clear communication through handover Multi-professional peer review

7 Safe workplaces 7

8

9 9 There is no typical maternity unit 21% of trusts and boards offer the full range of birth settings 77% offer homebirth Two thirds of obstetric units are now co-located with an alongside midwife-led unit 15% of maternity services said they provide continuity of carer through antenatal, labour and postnatal care 97% of providers use electronic systems but half say community midwives can t access the systems and only 10% give women have access to their records

10 10 Interventions in the care bundle Speaking with the woman about her risk and OASI and communicating with her during the birth to enable a slow controlled birth of the baby, Performing an episiotomy when required, Using the hands to enable perineal protection at the time of birth A thorough examination after birth to detect tears

11 11 review once, review well Free online tool Facilitate high quality standardised perinatal reviews Four elements The Perinatal Mortality Review Tool Training Involvement of parents National reporting

12 12 Reducing harm leading to avoidable admission of full-term babies into neonatal units Patient Safety Alert in February 2017 Focussed on hypoglycaemia, jaundice, respiratory conditions and asphyxia In partnership NHSI the RCM are working on the asphyxia workstream to: Develop standards for safety huddles and handovers Develop role descriptor and competency framework for labour ward coordinators Recommend and lobby for supernumerary status of labour ward coordinators Delivering multidisciplinary workshops for labour ward leaders

13 13 National Maternal and Neonatal Health Safety Collaborative Three year programme quality improvement programme to: improve clinical practices reduce unwarranted variation report on how they are contributing to achieving the national ambition All trusts in England will participate over three years supported by NHSI, first wave ongoing Projects include CTG interpretation Smoking cessation RCM will support by sharing learning

14 MCQIC Maternity and Children Quality Improvement Collaborative - Scotland 14 MCQIC Champion midwives funded in each health board by the Scottish Government to lead improvement work Many midwives and obstetricians across Scotland have received training in improvement methodology and run charts have become an ordinary site on maternity ward boards A huge range of local improvement projects have developed including increasing smoking cessation rates, reducing postpartum haemorrhage, improving CTG interpretation

15 For further information Website: Telephone: